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ISSN: 2637-6636

Interventions in Pediatric Dentistry: Open Access Journal

Case Report(ISSN: 2637-6636)

Treating Inflammatory Root Resorption Following Endodontic Regeneration – Case Report Volume 7 - Issue 2

Margarita Yoshpe*

    Faculty of Dental Medicine Jerusalem, Hebrew University of Jerusalem, Israel

Received: February 01, 2022;   Published: February 09, 2022

*Corresponding author: Margarita Yoshpe, Faculty of Dental Medicine Jerusalem, Hebrew University of Jerusalem, Israel

DOI: 10.32474/IPDOAJ.2022.07.000261

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Abstract

Aim: To describe complication management following regenerative endodontics.
Introduction: Regenerative endodontic procedures (REPs) are aimed to treat apical periodontitis and promote root maturation of immature necrotic teeth. Recently it was shown that REP may arrest inflammatory external root resorption (IERR) in replanted avulsed teeth. The purpose of this study is to describe a complication of REP in which IERR had been developed after REP treatment. Root Canal Treatment (RCT) using bio ceramic materials helped to arrest the IERR.
Methods: An eight-and-a-half-year-old girl was referred for treatment after avulsion of tooth #9 which has been splinted in a hospital for 2 weeks. After thorough examination tooth #9 was diagnosed as having necrotic pulp with symptomatic apical periodontitis. The tooth was treated by REP using plasma rich fibrin (PRF) and restored. Eight months later, IERR has begun. RCT using trichloroacetic acid (TCA) and mineral trioxide aggregate (MTA) plug was performed. The resorption area was treated with bio ceramic putty material.
Results: 35 months after the treatment the tooth is functioning without signs and symptoms
Conclusions: The present case demonstrate a method in which a conservative RCT with some modification may arrest IERR using TCA. IERR may develop long time following REP treatment. A thorough long follow-up is needed after REP. An early detection of IERR may overcome this complication.
Key learning points: Although very rare, complication after REP such as IERR may occur, an early diagnosis of such complication may be resolved by modified conservative RCT.

Keywords: Avulsion; Bio ceramics, External inflammatory root resorption; Regenerative endodontics, Trichloroacetic acid

Abstract| Introduction| Case Description| Results| Discussion| References|

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